| NPI | 1316973118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101049395) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101049395) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2025-09-24 |